Two Pages
Three Pages
PATIENT NAME :
LAURA CHOUX
Date :
30 JULY 2026
Clinic :
TYPE ...TEST
Type ...test
Treatment Overview
Total of Aligners :
UPPER #
LOWER #
Est. Treatment Time :
UPPER #
DAYS
LOWER #
DAYS
* Each Aligner need to be worn for
days.
Elastic Type
Type ..
Size :
Type ..
Attachments
Missing Tooth/Pontic
X.X mm
Total IPR
<y
Before stage
Button Cutout - Buccal
Button Cutout - Lingual
<y
Extraction before stage
Power Arm System
Bite Ramp
Elastic Hook
Power Ridge
Pressure Point
Tad
PATIENT NAME :
LAURA CHOUX
Date :
30 JULY 2026
Clinic :
TYPE ...TEST
Type ...test
Treatment Overview
SMILE SUMMARY
INITIAL POSITION
FINAL POSITION
PATIENT NAME :
LAURA CHOUX
Date :
30 JULY 2026
Type ...test
Treatment Overview
MOVEMENT CHART
IPR SUMMARY
IPR ON STAGE
Select ..
IPR ON STAGE
Select ..
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